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分享世界卫生组织关于控制和消除人体血吸虫病的指南以实现中国消除血吸虫病目标

[Sharing the WHO guideline on control and elimination of human schistosomiasis to achieve the goal of schistosomiasis elimination in China].

作者信息

Wang T P, Lü S, Qin Z Q, Zhou Y B, Liu Y, Wen L Y, Guo J G, Xu J, Li S Z, Zhang G M, Zhang S Q

机构信息

Anhui Institute of Schistosomiasis Control, Hefei, Anhui 230601, China.

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), National Health Commission Key Laboratory of Parasite and Vector Biology, WHO Collaborating Center for Tropical Diseases, National Center for International Research on Tropical Diseases, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2022 Jul 8;34(3):235-240. doi: 10.16250/j.32.1374.2022120.

Abstract

Currently, the national schistosomiasis control program of China is moving from transmission interruption to elimination, and there are multiple challenges during the stage moving towards the progression of schistosomiasis elimination, including a high difficulty in shrinking snail-infested areas, unstable achievements for infectious source control, imperfect surveillance system and a reduction in schistosomiasis control and administration. Based on the core suggestions proposed in the 2022 WHO guideline on control and elimination of human schistosomiasis, recommendations on schistosomiasis surveillance system building, development of novel diagnostics, adjustment of the schistosomiasis control strategy and maintaining and improvements of the schistosomiasis control capability are proposed for the national schistosomiasis control program of China in the new era according to the actual status of schistosomiasis control in China. Formulation of the national schistosomiasis control strategy and goal from One Health perspective, verification of transmission interruption and elimination of schistosomiasis, precision implementation of schistosomiasis control interventions with adaptations to local circumstances, development and application of highly sensitive and specific diagnostics are recommended for elimination of schistosomiasis in China. In addition, the implementation of the 2022 WHO guideline on control and elimination of human schistosomiasis may guide the elimination of schistosomiasis in China.

摘要

目前,中国国家血吸虫病防治规划正从传播阻断迈向消除阶段,在向血吸虫病消除进程推进的阶段存在诸多挑战,包括缩小钉螺孳生面积难度大、传染源控制成效不稳定、监测系统不完善以及血吸虫病防治管理工作有所削弱。根据世界卫生组织《2022年控制和消除人体血吸虫病指南》提出的核心建议,结合中国血吸虫病防治实际情况,对新时代中国国家血吸虫病防治规划在血吸虫病监测系统建设、新型诊断方法研发、防治策略调整以及防治能力维持与提升等方面提出建议。建议从“同一健康”视角制定国家血吸虫病防治策略和目标,核查血吸虫病传播阻断和消除情况,因地制宜精准实施血吸虫病防治干预措施,研发并应用高灵敏度和特异性的诊断方法,以实现中国血吸虫病的消除。此外,实施世界卫生组织《2022年控制和消除人体血吸虫病指南》可指导中国消除血吸虫病。

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